Mgr, Medical Economics

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health.

This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

Manages, leads, or participates on complex medical economic projects (e.g. Medical Cost Savings Initiatives).

Project Management accountabilities include project oversight including initiation, identification and completion of key deliverables to ensure all business objectives are met.

Responsible for the development and implementation of key medical economics business efforts e.g. medical cost initiatives, policies / programs and analytical models.

Accountable for all financial projections associated with project.

Required Qualifications

5+ years demonstrated leadership and / or project management experience

5+ years of healthcare experience

Preferred Qualifications

• Extensive knowledge of managed care and how provider reimbursement policies relate to the control of medical claims costs.
• Full comprehension of provider contracts and the potential impact the regulatory / legislative environment has on reimbursement strategies.
• Understanding of internal and external database applications.
• Knowledge of market-place delivery (understanding of provider relationships).

Skill in :

• Advanced communication / presentation skills.
• Advanced software and programming skills.
• Strong analytical ability and familiarity with advanced financial and healthcare concepts.
• Ability to manage conflicting priorities and multiple projects concurrently.

Education

Bachelor's Degree or equivalent work experience required

Pay Range

The typical pay range for this role is :

$54,300.00 - $139,200.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.

The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.

The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.

The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.

CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.

As for time off, Company employees enjoy Paid Time Off ( PTO ) or vacation pay, as well as paid holidays throughout the calendar year.

Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.